Individual
MARIE ST.JOHN NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
Mailing address
5 REMSEN RD, LITCHFIELD, CT 06759-3840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000494
CT
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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